Organization Active NPI

Montana Gastroenterology, PLLC

  • Clinic/Center
  • Missoula, MT
National Provider Identifier
1821612946
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MONTANA GASTROENTEROLOGY, PLLC
Practice address
1930 W Broadway
Ste a
Missoula, MT 59808
Phone
(406) 541-6844
Fax
(406) 541-6843
NPI assigned
Jun 4, 2020
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Robert E McCarville
Title
Administrator
Phone
(417) 889-2040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1930 W Broadway
Ste a
Missoula, MT 59808

Mailing address

2925 E Battlefield Rd Ste 110
Springfield, MO 65804-4015
Phone (417) 889-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200930000358 MT Part B Supplier - Clinic/Group Practice 7618396318 Receives reassigned benefits from 35 practitioners
Practice locations: Missoula, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2267430Montana Gastroenterology, PLLC1930 W Broadway St, Ste a, Missoula, MT 59808ComplianceFeb 8, 2027

National Provider Directory

National Provider Directory

Locations

2925 E Battlefield Rd
Ste 110
Springfield, MO 65804

1930 W Broadway St
Ste A
Missoula, MT 59808
Phone (406) 541-6844

1930 W Broadway St
Ste B
Missoula, MT 59808
Phone (406) 541-6836

500 W Broadway St
Bldg 4
Missoula, MT 59802

500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1821612946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 E BATTLEFIELD RD STE 110",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658044015",
            "telephone_number": "417-889-2040",
            "fax_number": "417-719-7896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W BROADWAY",
            "address_2": "STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "59808",
            "telephone_number": "406-541-6844",
            "fax_number": "406-541-6843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTANA GASTROENTEROLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-04",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "MCCARVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "417-889-2040"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.